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The region's terrain ranges diversely from verdant valleys to craggy hills, rich farmland and orchards to the spire-like mountains surrounding Mount Carrocas. The Asharian Midlands are home to many rivers, most notably the river Chas, which runs north-south across nearly the entire region.

The lands were once home to the first dynasty of the Shi'imti Empire, their ruins dotting the land, however, deadly gnolls have taken up residence in them and raid nearby settlements.